Provider Demographics
NPI:1518179803
Name:ALPINE FAMILY HEALTHCARE SERVICES, LLP
Entity Type:Organization
Organization Name:ALPINE FAMILY HEALTHCARE SERVICES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CELAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-837-1541
Mailing Address - Street 1:910 E LOCKHART AVE
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830-4906
Mailing Address - Country:US
Mailing Address - Phone:432-837-1541
Mailing Address - Fax:432-837-1795
Practice Address - Street 1:910 E LOCKHART AVE
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-4906
Practice Address - Country:US
Practice Address - Phone:432-837-1541
Practice Address - Fax:432-837-1795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169065301Medicaid
TX00538XMedicare ID - Type Unspecified